GABA estimation in the brains of children on the autism spectrum: measurement precision and regional cortical variation.

GABA estimation in the brains of children on the autism spectrum: measurement precision and regional cortical variation.
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DOI:
10.1016/j.neuroimage.2013.05.068
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发表时间:
2014-02-01
期刊:
影响因子:
5.7
通讯作者:
Roberts, T. P. L.
Roberts, T. P. L.
中科院分区:
医学1区
文献类型:
--
作者:
Gaetz, W.;Bloy, L.;Wang, D. J.;Port, R. G.;Blaskey, L.;Levy, S. E.;Roberts, T. P. L.

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1H-磁共振波谱(1H-MRS)和谱编辑方法,如MEGA-PRESS,使研究人员能够研究体内代谢物和神经递质浓度。在这里,我们解决利用1H-MRS的GABA浓度在ASD大脑中的调查,在三个位置,运动,视觉和听觉领域。初始重复性研究(5名受试者,5次重复测量,平均间隔约5天)表明参考代谢物选择对GABA定量无显著影响(p > 0.6)。GABA ~+/NAA、GABA ~+/Cr和GABA ~+/Glx的变异系数均在9- 11%之间。基于这些发现,我们调查了一组(n=17)自闭症谱系障碍(ASD)和(n = 17)典型发育儿童(TD)的运动,听觉和视觉感兴趣区域(ROI)的肌酸标准化GABA+比值(GABA+/Cr)。对灰质(GM)体积变化(已知随着发育而发生)的线性回归分析显示,随着运动年龄(F(1,30)=17.92; p<0.001)和视觉F(1,16)=14.41; p<0.005,但听觉感兴趣区(ROI)却没有显着减少(p=0.55)。GABA+/Cr随年龄变化的检查显示,仅运动ROI发生轻微显著变化(F(1,30)=4.11; p=0.054)。因此,使用年龄和GM体积作为协变量分别对每个ROI进行后续分析。对于TD与ASD儿童之间的视觉ROI,未观察到GABA+/Cr的组间差异。然而,运动和听觉ROI显示ASD中GABA+/Cr显著降低(运动p<0.05;听觉p<0.01)。运动ROI的GABA+/Cr平均不足约为11%,听觉ROI约为22%。我们的新发现支持ASD大脑中GABA+/Cr区域差异的模型,主要是在听觉和较小程度上的运动区域,但不是视觉区域。
1H-magnetic resonance spectroscopy (1H-MRS) and spectral editing methods, such as MEGA-PRESS, allow researchers to investigate metabolite and neurotransmitter concentrations in-vivo. Here we address the utilization of 1H-MRS for the investigation of GABA concentrations in the ASD brain, in three locations; motor, visual and auditory areas. An initial repeatability study (5 subjects, 5 repeated measures separated by ~ 5 days on average) indicated no significant effect of reference metabolite choice on GABA quantitation (p > 0.6). Coefficients of variation for GABA+/NAA, GABA+/Cr and GABA+/Glx were all of the order of 9–11%. Based on these findings, we investigated creatine-normalized GABA+ ratios (GABA+/Cr) in a group of (n=17) children with autism spectrum disorder (ASD) and (n=17) typically developing children (TD) for Motor, Auditory and Visual regions of interest (ROIs). Linear regression analysis of grey matter (GM) volume changes (known to occur with development) revealed a significant decrease of GM volume with Age for Motor (F(1,30)=17.92; p<0.001) and Visual F(1,16)=14.41; p<0.005 but not the Auditory ROI(p=0.55). Inspection of GABA+/Cr changes with Age revealed a marginally significant change for the Motor ROI only (F(1,30)=4.11; p=0.054). Subsequent analyses was thus conducted for each ROI separately using Age and GM volume as covariates. No group differences in GABA+/Cr were observed for the Visual ROI between TD vs. ASD children. However, the Motor and Auditory ROI showed significantly reduced GABA+/Cr in ASD (Motor p<0.05; Auditory p<0.01). The mean deficiency in GABA+/Cr from the Motor ROI was approximately 11% and Auditory ROI was approximately 22%. Our novel findings support the model of regional differences in GABA+/Cr in the ASD brain, primarily in Auditory and to a lesser extent Motor but not Visual areas.
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